Provider Demographics
NPI:1386353365
Name:RICE, DAVID ORLANDO JR (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:ORLANDO
Last Name:RICE
Suffix:JR
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 BRADHURST AVE APT 903
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10039-3323
Mailing Address - Country:US
Mailing Address - Phone:201-981-7306
Mailing Address - Fax:
Practice Address - Street 1:102 BRADHURST AVE APT 903
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10039-3323
Practice Address - Country:US
Practice Address - Phone:201-981-7306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC043991001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty